| 骆贵,袁丰卉,牟韵静,余海军,梁晶晶,党江波,高斌.急性应激反应与大学生抑郁的关系：反刍思维的中介作用及领悟社会支持的调节作用[J].四川精神卫生杂志,2025,(2):153-158.Luo Gui,Yuan Fenghui,Mou Yunjing,Yu Haijun,Liang Jingjing,Dang Jiangbo,Gao Bin,Relationship between acute stress response and depression among college students： the mediating role of rumination and the moderated role of perceived social support[J].SICHUAN MENTAL HEALTH,2025,(2):153-158 |
| 急性应激反应与大学生抑郁的关系：反刍思维的中介作用及领悟社会支持的调节作用 |
| Relationship between acute stress response and depression among college students： the mediating role of rumination and the moderated role of perceived social support |
| 投稿时间：2024-12-20 |
| DOI：10.11886/scjsws20241220001 |
| 中文关键词: 急性应激反应 抑郁 反刍思维 领悟社会支持 大学生 |
| 英文关键词:Acute stress response Depression Rumination Perceived social support College students |
| 基金项目:云南省教育厅科学研究基金项目（项目名称：数智时代大学生积极心态的生成与引导路径探究，项目编号：2025J0437） |
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| 中文摘要: |
| 背景 抑郁已经成为影响大学生身心健康的公共卫生问题。急性应激反应是抑郁的危险因素，探索急性应激反应与抑郁的关系及作用机制，对预防和干预大学生抑郁情绪具有重要意义。目的 探讨急性应激反应与大学生抑郁的关系，并分析反刍思维的中介作用以及领悟社会支持的调节作用，以期为大学生抑郁的预防和干预提供参考。方法 于2020年3月—4月，采用整群抽样法，选取湖北省、江西省和广西壮族自治区的三所高校的1 355名大学生为研究对象。采用急性应激障碍量表（ASDS）、反刍思维量表（RRS）、领悟社会支持量表（F-SozU）以及患者健康问卷抑郁量表（PHQ-9）进行评定。使用Pearson相关分析考查各量表评分的相关性。采用宏程序Process 3.3中的模型4和模型14分别检验反刍思维在急性应激反应与抑郁之间的中介作用以及领悟社会支持的调节作用。结果 共回收有效问卷1 303份，有效问卷回收率为96.16%。Pearson相关分析结果显示，大学生ASDS评分与RRS评分和PHQ-9评分均呈正相关（r=0.649、0.528，P均<0.01）。中介效应分析结果显示，反刍思维在急性应激反应与抑郁之间起部分中介作用，效应值为0.273（95% CI：0.222~0.328），占总效应的68.59%。领悟社会支持在中介效应的后半段路径（反刍思维→抑郁）起调节作用（β=-0.004，95% CI：-0.017~-0.004，P<0.01）。结论 大学生反刍思维在急性应激反应与抑郁之间起部分中介作用，领悟社会支持在反刍思维与抑郁之间起调节作用。 |
| 英文摘要: |
| Background Depression has become a public health concern that affects the physical and mental health of college students. acute stress response is a risk factor of depression. Exploring the relationship and mechanism between acute stress response and depression is of great significance for preventing and intervening depression in college students.Objective To examine the relationship between acute stress response and depression among college students， and to analyze the mediating role of rumination and the moderated effect of perceived social support， so as to provide references for the prevention and intervention of depression in college student .Methods From March to April 2020， a cluster sampling method was employed to select 1 355 college students from three universities in Hubei， Jiangxi and Guangxi Zhuang Autonomous Region. Participants were assessed with Acute Stress Disorder Scale （ASDS）， Ruminative Responses Scale （RRS）， Brief form of Perceived Social Support Questionnaire （F-SozU） and Patients' Health Questionnaire Depression Scale-9 item （PHQ-9）. Pearson correlation analysis was adopted to examine the correlation between the scores of each scale. The mediating role of rumination between acute stress response and depression and the moderated role of perceived social support were examined respectively by using Model 4 and Model 14 in Macro Program Process 3.3.Results A total of 1 303 valid questionnaires were collected， yielding a valid response rate of 96.16%. The results of Pearson correlation analysis showed that ASDS score was positively correlated with RRS score and PHQ-9 score （r=0.649， 0.528， P<0.01） among college students. The mediation analysis results demonstrated that rumination played a partial mediating role between acute stress response and depression， with the mediating effect value of 0.273 （95% CI：0.222~0.328）， accounting for 68.59% of the total effect. Perceived social support played a moderated role in the latter path of the mediation model （rumination → depression） （β=-0.004， 95% CI： -0.017~-0.004， P<0.01）.Conclusion Rumination played a partial mediating role between acute stress response and depression in college students， and perceptive social support played a moderated role between rumination and depression. ［Funded by Scientific Research Fund Project of Education Department of Yunnan Province （number， 2025J0437）］ |
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